Individual provider · Type 1 NPI

Ryan Gertz

Student in an Organized Health Care Education/Training Program · San Rafael, CA

NPI number 1144883695 Active

Practice location

1330 Lincoln Ave
San Rafael, CA 94901-2120

Call (415) 459-5999 Map

Mailing address

111 Prospect Ave
Sausalito, CA 94965-2332

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144883695

Ryan Gertz's National Provider Identifier is 1144883695, issued on Apr 19, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Rafael, CA. The record was last updated on Apr 19, 2019.